Active NPI
Luke Camagna
- Dentist
- Garnet Valley, PA
National Provider Identifier
1063941623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS041252
- Practice address
- 92 Overlook Cir
Garnet Valley, PA 19060-2250 - Phone
- (484) 832-1599
- NPI assigned
- Jun 7, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041252 | PA | Primary |
Addresses
Primary practice location
92 Overlook Cir
Garnet Valley, PA 19060-2250
Mailing address
92 Overlook Cir
Garnet Valley, PA 19060-2250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS041252 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Dental, LLC | Dentist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Garnet Valley, PA
- NPI 1497408553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643500800000",
"number": "1063941623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 OVERLOOK CIR",
"city": "GARNET VALLEY",
"state": "PA",
"postal_code": "190602250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "92 OVERLOOK CIR",
"city": "GARNET VALLEY",
"state": "PA",
"postal_code": "190602250",
"telephone_number": "484-832-1599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMAGNA",
"first_name": "LUKE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-07",
"last_updated": "2022-01-30",
"certification_date": "2022-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garnet Valley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.